A radiologist is examining a series of contrast-enhanced CT scans of a patient’s thorax in evaluating findings of a hypertrophied right heart. Which of the following structures is located in the pathologically enlarged right atrium?

A group of disorders that occur when blood vessels or nerves in the space between the clavicle and the first rib are compressed

Answer one of these two, either number 1 or number 2 (your choice):  (1) What was distinctive about the French settlement in North America?  Why did the French settle in North America?  In what ways did the French prosper?  OR (2) Where did the Native Americans come from?  How were they different from each other?  How did Native American communities manage to survive and support themselves?

In 1492, when the King and Queen of Spain made the decision to finance the expedition of Christopher Columbus, their main goal was 

Short answer: Discuss the Massachusetts colony.  What were the founders of the Massachusetts colony seeking to accomplish?  What made this colony distinctive and important, both in religion and in politics?

Short answer:  What was the colony at Jamestown like?  Why was it established?  What allowed this colony eventually to become a permanent, successful colony?  What decisions were made by the colony’s leaders that helped it survive and prosper?

Which of the following is the most reasonable target value for aided speech intelligibility index (SII) in hearing aid fittings?

CASE 1Patient Profile: A 68-year-old individual with bilateral sensorineural hearing loss. No contraindications to ear mold.General Medical History: Generally healthy, managed hypertension.Otologic History: No history of ear infections or surgeries. Gradual onset of hearing loss over the past 10 years.Audiometric Profile: Bilateral sensorineural hearing loss with a pure-tone average (PTA) of 60 dB HL in both ears. Speech discrimination score (WORD REC IN QUIET) is 50%, bilaterally.Family and Social Context: Retired, lives with a spouse. Enjoys social gatherings with family and friends.Physical Functioning and Manual Dexterity: Good physical health and manual dexterity. Able to handle and maintain hearing aids.What hearing aid style would you recommend?

CASE 1 Patient Profile: A 68-year-old individual with bilateral sensorineural hearing loss. No contraindications to ear mold. General Medical History: Generally healthy, managed hypertension and diabetes. Otologic History: No history of ear infections or surgeries. Gradual onset of hearing loss over the past 10 years. Audiometric Profile: Bilateral FLAT sensorineural hearing loss with a pure-tone average (PTA) of 60 dB HL in both ears. Speech discrimination score (WORD REC IN QUIET) is 50%, bilaterally. Family and Social Context: Retired, lives with a spouse. Enjoys social gatherings with family and friends. Physical Functioning and Manual Dexterity: Good physical health and manual dexterity. Able to handle and maintain hearing aids. What receiver strength would you recommend? Fitting ranges all.JPG

Which of the following is the most reasonable target value for root mean squared error (RMSE) in hearing aid fittings?